Emzirme Danışmanlığı ve Emzirmede Karşılaşılan Sorunlar

ÖzEmzirmenin bilinen yararlarına ve güncel emzirme danışmanlığı desteğine önemverilmesine rağmen ülkemizde TNSA-2013 verilerine göre özellikle sezaryen doğumların artması nedeniyle olan gecikmiş laktogenez ve anne sütü yetersizliğine bağlı emzirmenin erken kesilmesi ile formül mama kullanımının artışı gibi anlamlı emzirme sorunları bulunmaktadır. Anne sütünün desteklenmesi ve emzirme danışmanlığı; sadece pozisyon, kavrama, sütün gelmesi  olarak değil, her bebek/anne çiftinin anne, bebek, doğum ve aile ilişkili  ilgili psikososyal risklerin çok boyutlu değerlendirilmesini gerektiren bütüncül bir yaklaşımdır. Çocuk hekimleri emzirmenin desteklenmesi ve danışmanlık konusunda ana sorumlu ve ekip lideri durumundadırlar. Ülkemizde yakın gelecekte emzirmenin başlatılması, sürdürülmesi ve desteklenmesi konusundaki sorunlara yönelik etkin politikalar belirlenip  çözümler üretilmelidir.

Lactational Counseling and Breastfeeding Promlems

AbstractDespite the known benefits of breastfeeding and importance of current practicein lactational support there has been an increase in breastfeeding problems such asdelayed and insufficient breast milk production causing early discontinuation of breastfeeding and unnecessary formula supplementation especially due to high rates ofcaesarean section according to the Turkey Demographic and Health Survey-2013 .Breastfeeding support and counseling is not only latching, positioning and milk ejection but also  a multidimentional integrated management  of every motherinfant dyadtogether with  maternal, neonatal, delivery  and family-related psychosocial issues. Pediatricians, as an team leader, have majör responsibiltiy on supporting breastfeeding and lactational consealing. In the near future, effective policies and solutionsfor problems related initiation, continuation and supporting of breastfeeding shouldbe produced in our country.

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